MARY ELLEN KLEMENT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004291

License Status

NOT RENEWED

Business

First Name

MARY ELLEN

Last Name

KLEMENT

Business Name

MARY ELLEN KLEMENT

Original Issue Date

07/30/1980

Effective Date

06/21/2018

Expiration Date

01/31/2022

City

WISCONSIN RAPIDS

State

Zip

54494

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/09/2022